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The purpose of this study to evaluate the safety and efficacy of high-dose donepezil (23mg) in Parkinson's disease with dementia compared to standard dose donepezil.
This study is open-label, prospective, randomized paralleled study. The investigators evaluate the efficacy of high-dose donepezil in patients with Parkinson's disease with dementia (PDD) who have taken standard donepezil (10mg) for 12 weeks. The participants, who sign the informed consent, are assigned into two groups randomly (high-dose donepezil group and standard donepezil group). All participants will be maintained the medication for 24 weeks and assessed cognitive function at 24 weeks. They will visit to clinic for 3 times (4, 12, 24 weeks) to assess cognitive function and adverse event. After the end of study, all participants were administrated by standard dose donepezil again.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| high dose donepezil (23mg) | Experimental | Patients with dementia in Parkinson's disease, who are treated with high dose donepezil (23mg) |
|
| standard dose denepezil (10mg) | Active Comparator | Patients with dementia in Parkinson's disease, who are treated with standard dose donepezil (10mg) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Donepezil | Drug | 23mg/day for 24 weeks versus 10mg/day for 24 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Korean Mini-Mental State Examination-2 (MMSE-2) | scale for general cognitive function, We used Korean version of MMSE-2 from PAR company | 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Korean-Instrumental Activities of Daily Living | scales for activities daily living | 24 weeks |
| Clinical dementia rating | scales for activities of daily living |
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Inclusion criteria :
Exclusion criteria :
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sangjin Kim, Professor | Contact | 82-51-797-8736 | jsk120@hanmail.net |
| Name | Affiliation | Role |
|---|---|---|
| Sangjin Kim, Professor | Inje University Haeundae Paik Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Inje university, busan paik hospital | Recruiting | Busan | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15965198 | Background | Ravina B, Putt M, Siderowf A, Farrar JT, Gillespie M, Crawley A, Fernandez HH, Trieschmann MM, Reichwein S, Simuni T. Donepezil for dementia in Parkinson's disease: a randomised, double blind, placebo controlled, crossover study. J Neurol Neurosurg Psychiatry. 2005 Jul;76(7):934-9. doi: 10.1136/jnnp.2004.050682. | |
| 14716693 | Background |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| D003704 | Dementia |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D000077265 | Donepezil |
| ID | Term |
|---|---|
| D007189 | Indans |
| D007192 | Indenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
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| 24 weeks |
| Unified Parkinson's disease rating scale (UPDRS) part 3 | scales for motor symptoms in Parkinson's disease | 24 weeks |
| Modified Hoehn & Yahr stage | scales for status of Parkinson's disease | 24 weeks |
| Schwab & England Activities of Daily Living | scales for activities daily living | 24 weeks |
| Caregiver-Administered Neuropsychiatric Inventory | scales for status of caregiver | 24 weeks |
| Global Deterioration Scale | scales for activities of daily living | 24 weeks |
| Korean-Montreal Cognitive Assessment | scales for cognition | 24 weeks |
| Semantic fluency to evaluate neuropsychiatric symptoms | scales for language | 24 weeks |
| Leroi I, Brandt J, Reich SG, Lyketsos CG, Grill S, Thompson R, Marsh L. Randomized placebo-controlled trial of donepezil in cognitive impairment in Parkinson's disease. Int J Geriatr Psychiatry. 2004 Jan;19(1):1-8. doi: 10.1002/gps.993. |
| 12023410 | Background | Aarsland D, Laake K, Larsen JP, Janvin C. Donepezil for cognitive impairment in Parkinson's disease: a randomised controlled study. J Neurol Neurosurg Psychiatry. 2002 Jun;72(6):708-12. doi: 10.1136/jnnp.72.6.708. |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D006844 |
| Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011083 | Polycyclic Compounds |